free settlement quote
Complete the form below and a Patriot Settlement Resources Manager will
provide you with a FREE quote for your Structured Settlement Annuity Payment,
Lottery Award or Life Settlement.
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In order to provide you the most
accurate quote possible, please fill
in the information below that best
applies to your particular situation...

How much money do you need now?
Name of the company or agency making payments to you:
Payment Type:
(If other, please explain):
Payment Information
I currently receive:
payments of
Date first payment received:
Date of final payment:
Periodic Lump Sum Payments Due
List the future payments you’d like to sell: